N520 Final Exam 1 Questions With All
Correct Verified Answers.
Sign - Answer something I can detect even if patient is unconscious
Symptom - Answer Is something only the patient knows about (subjective)
Standard precautions - Answer CDC precautions used in the care of all patients regardless of their
diagnosis or possible infection status; this category combines universal and body substance precautions
Nursing process - Answer Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - Answer data:
collect
organize
validate
document
subjective data - Answer apparent only to person affected
objective data - Answer can be seen, heard, felt, smelled
4 aspects of physical examination - Answer inspection
palpation
percussion
,auscultation
what to inspect - Answer physical appearance
body structure
mobility
behavior
what to palpate - Answer senses, body surfaces
what to percuss - Answer location and size of organ
density
abnormal mass
elicit pain
elicit deep tendon reflex
sounds heard with percussion - Answer Resonant: low, clear hollow (over lung area)
Hyperresonant: lower, booming, longer duration (normal over child lung, abnormal over adult with
COPD)
Tympanic: high pitched, musical; over air-filled areas like abdomen
Dull: high pitched, muffled, short (over dense organs)
Flat: high pitched (over bone)
what are vital signs - Answer temperature, pulse, respiration, blood pressure, pain assessment
questions to ask before taking vital signs - Answer what are your normal vital signs?
what medications are you taking?
vital signs - Answer -key physiologic measures of the person's general health state
-reflect changes in function that otherwise might not be observed
, -children and older adults have different values
temperature - Answer reflects the balance between the heat produced and the heat lost from the body
how to assess temperature - Answer temp sensitive tape
aural
oral
axillary
foley catheter temperature sensor
rectal
normal temperature - Answer 96.8-98.6
farenheit to celsius - Answer C= 5/9 (F-32)
celsius to farenheit - Answer (C x 9/5) + 32 = F
nursing interventions for hypothermia - Answer provide warm environment
provide dry clothing
apply warm blankets
keep limbs close to body
cover scalp
supply warm oral or intravenous fluids
apply warming pads
pulse is - Answer A wave of blood created by contraction of the left ventricle of the heart
where to palpate pulses - Answer temporal
carotid
Correct Verified Answers.
Sign - Answer something I can detect even if patient is unconscious
Symptom - Answer Is something only the patient knows about (subjective)
Standard precautions - Answer CDC precautions used in the care of all patients regardless of their
diagnosis or possible infection status; this category combines universal and body substance precautions
Nursing process - Answer Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - Answer data:
collect
organize
validate
document
subjective data - Answer apparent only to person affected
objective data - Answer can be seen, heard, felt, smelled
4 aspects of physical examination - Answer inspection
palpation
percussion
,auscultation
what to inspect - Answer physical appearance
body structure
mobility
behavior
what to palpate - Answer senses, body surfaces
what to percuss - Answer location and size of organ
density
abnormal mass
elicit pain
elicit deep tendon reflex
sounds heard with percussion - Answer Resonant: low, clear hollow (over lung area)
Hyperresonant: lower, booming, longer duration (normal over child lung, abnormal over adult with
COPD)
Tympanic: high pitched, musical; over air-filled areas like abdomen
Dull: high pitched, muffled, short (over dense organs)
Flat: high pitched (over bone)
what are vital signs - Answer temperature, pulse, respiration, blood pressure, pain assessment
questions to ask before taking vital signs - Answer what are your normal vital signs?
what medications are you taking?
vital signs - Answer -key physiologic measures of the person's general health state
-reflect changes in function that otherwise might not be observed
, -children and older adults have different values
temperature - Answer reflects the balance between the heat produced and the heat lost from the body
how to assess temperature - Answer temp sensitive tape
aural
oral
axillary
foley catheter temperature sensor
rectal
normal temperature - Answer 96.8-98.6
farenheit to celsius - Answer C= 5/9 (F-32)
celsius to farenheit - Answer (C x 9/5) + 32 = F
nursing interventions for hypothermia - Answer provide warm environment
provide dry clothing
apply warm blankets
keep limbs close to body
cover scalp
supply warm oral or intravenous fluids
apply warming pads
pulse is - Answer A wave of blood created by contraction of the left ventricle of the heart
where to palpate pulses - Answer temporal
carotid
